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<p class="p1">&lt;form name= method=&gt;</p>
<p class="p1">&lt;table align='center'&gt;</p>
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<p class="p1">&lt;tr&gt;&lt;td&gt;Name&lt;/td&gt;&lt;td&gt;&lt;input value="" name="Username" type="text"&gt;&lt;/td&gt;&lt;/tr&gt;</p>
<p class="p2"><br></p>
<p class="p1">&lt;tr&gt;&lt;td&gt;Email Address&lt;/td&gt;&lt;td&gt;&lt;input value="" name="Email" type="text"&gt;&lt;/td&gt;&lt;/tr&gt;</p>
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<p class="p1">&lt;tr&gt;&lt;td&gt;School/Discipline?&lt;/td&gt;&lt;td&gt;&lt;select name="School"&gt;&lt;option value="Arts/Humanities"&gt;Arts/Humanities&lt;/option&gt;&lt;option value="Business"&gt;Business&lt;/option&gt;&lt;option value="Creative Arts/Industries"&gt;Creative Arts/Industries&lt;/option&gt;&lt;option value="Dentistry"&gt;Dentistry&lt;/option&gt;&lt;option value="Education ECE Online"&gt;Education ECE Online&lt;/option&gt;&lt;option value="Education (Primary)"&gt;Education (Primary)&lt;/option&gt;&lt;option value="Education (Secondary)"&gt;Education (Secondary)&lt;/option&gt;&lt;option value="Engineering"&gt;Engineering&lt;/option&gt;&lt;option value="Information Technology"&gt;Information Technology&lt;/option&gt;&lt;option value="Law"&gt;Law&lt;/option&gt;&lt;option value="Nursing"&gt;Nursing&lt;/option&gt;&lt;option value="Pyschology"&gt;Pyschology&lt;/option&gt;&lt;option value="Science"&gt;Science&lt;/option&gt;&lt;option value="Sports &amp;amp; Exercise Science"&gt;Sports &amp;amp; Exercise Science&lt;/option&gt;&lt;option value="Social Science"&gt;Social Science&lt;/option&gt;&lt;option value="Social Work"&gt;Social Work&lt;/option&gt;&lt;option value="Tertiary Access Course"&gt;Tertiary Access Course&lt;/option&gt;&lt;/select&gt;&lt;/td&gt;&lt;/tr&gt;</p>
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<p class="p1">&lt;tr&gt;&lt;td&gt;&lt;/td&gt;&lt;td&gt;&lt;input name="GenerateReport" value="Generate Report" type="submit"&gt;&lt;/td&gt;&lt;/tr&gt;</p>
<p class="p1">&lt;/table&gt;<span class="Apple-converted-space"> </span></p>
<p class="p1"><span class="Apple-converted-space"> </span>&lt;/form&gt;</p>
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